Izinketho Zokuhlinzwa Zokwelapha Izimbangela Zokweqa ngokweqile

-Delile

• Ukubuka konke
• Ukuhlinzwa ukumisa ukuhogela
• Inqubo yensika (ukufakwa kwe-palatal)
• I-Uvulopalatopharyngoplasty (UPPP)
• Ukuthuthuka kweMaxillomandibular (MMA)
• Ukugqugquzela izinzwa ze-Hypoglossal
• Ukuncipha kwe-Septoplasty ne-turbinate
• Ukuthuthuka kwe-Genioglossus
• Ukumiswa kwe-Hyoid
• I-midline glossectomy ne-lingualplasty
• Ukuhogela imiphumela emibi yokuhlinzwa
• Izindleko Zokuhlinza Ukuhogela
• Ukudla okudlela endlini

Ukubuka konke

Ngenkathi iningi labantu lihogela ngezikhathi ezithile, abanye abantu banenkinga yesikhathi eside ngokuthwebula njalo. Uma ulele, izicubu zomphimbo wakho ziyakhululeka. Kwesinye isikhathi lezi zicubu ziyavevezela zenze umsindo onokhahlo noma ohoshozelayo.

Izingozi zokugoqa zifaka:

• isisindo somzimba ngokweqile
• ukuba ngowesilisa
• ukuba nendiza encane
• ukuphuza utshwala
• izinkinga zamakhala
• umlando womndeni wokuhogela noma ukuvimbela ukuphefumula kokulala

Ezimweni eziningi, ukuhogela akunangozi. Kodwa kungakuphazamisa kakhulu wena nokulala komlingani wakho. Ukuthimula nakho kungaba uphawu lwesimo sempilo esibi esibizwa ngokuthi i-apnea yokulala. Lesi simo sidala ukuthi uqale futhi uyeke ukuphefumula kaninginingi ngesikhathi sokulala.

Uhlobo olubi kakhulu lwe-apnea yokulala lubizwa ngokuthi yi-obstructive sleep apnea. Lokhu kwenzeka ngenxa yokuyekelela ngokweqile kwemisipha engemuva komphimbo wakho. Izicubu ezikhululekile zivimba indlela yakho yomoya ngenkathi ulele, ziyenze ibe ncanyana, ukuze kuphefumuleke umoya omncane.

Ukuvaleka kungenziwa kubi kakhulu ukukhubazeka komzimba emlonyeni, emphinjeni, nasemaphashini, kanye nezinkinga zemizwa. Ukukhuliswa kolimi kungenye imbangela enkulu yokuhogela nokulala emoyeni ngoba ibuyela emphinjeni futhi ivimbele umoya wakho.

Odokotela abaningi batusa ukusebenzisa okokusebenza noma okokukhulumela ukuze ugcine umoya wakho uvulekile ngenkathi ulele. Kodwa kwesinye isikhathi ukuhlinzwa kunconyelwa ezimweni ezinzima zokuphefumula kokulala noma lapho ezinye izindlela zokwelapha zingasebenzi.

Ukuhlinzwa ukumisa ukuhogela

Ezimweni eziningi, ukuhlinzekwa kungaphumelela ekwehliseni ukuhoxa nokwelapha ukuvimbela ukuphefumula kokulala. Kepha kwezinye izimo, ukuhogela ukubuya ngokuhamba kwesikhathi. Udokotela wakho uzokuhlola ukuze akusize unqume ukuthi imuphi umuthi olungele wena.

Nayi eminye imijovo odokotela abangayincoma:

Inqubo yensika (ukufakwa kwe-palatal)

Inqubo yensika, ebizwa nangokuthi ukufakelwa kwe-palatal, ukuhlinzwa okuncane okusetshenziselwa ukwelapha ukuhogela kanye nezimo ezinzima zokuphefumula kokulala. Kubandakanya ukufakelwa ngokuhlinziwe izinduku ze-polyester (zepulasitiki) olimini olungenhla lomlomo wakho.

Ngakunye kwalokhu kufakelwa cishe ngamamilimitha ayi-18 ubude namamilimitha ayi-1.5 ububanzi. Njengoba izicubu ezizungeze lezi zimila ziphola, ulwanga luyaqina. Lokhu kusiza ukugcina izicubu ziqinile futhi mancane amathuba okuthi zidlidlize futhi kubangele ukuhona.

I-Uvulopalatopharyngoplasty (UPPP)

I-UPPP inqubo yokuhlinza eyenziwe ngaphansi kwe-anesthesia yendawo ehilela ukususa ezinye izicubu ezithambile ngemuva nangaphezulu komqala. Lokhu kufaka phakathi i-uvula, elenga lapho kuvuleka umphimbo, kanye nezinye izindonga zomphimbo nolwanga.

Lokhu kwenza ukuphefumula kube lula ngokugcina umgudu womoya uvuleke ngokwengeziwe. Yize kungavamile, lokhu kuhlinzwa kungadala imiphumela emibi yesikhathi eside njengezinkinga zokugwinya, ukushintsha kwezwi, noma umuzwa waphakade wento ethile emphinjeni wakho.

Lapho izicubu ezisuka ngemuva komphimbo zisuswa kusetshenziswa amandla e-radiofrequency (RF), kubizwa ngokuthi yi-radiofrequency ablation. Lapho kusetshenziswa i-laser, ibizwa nge-uvulopalatoplasty esizwa nge-laser. Lezi zinqubo zingasiza ukuhogela kepha azisetshenziswanga ukwelapha ukuvimbela ukuphefumula kokulala.

Ukuthuthuka kweMaxillomandibular (MMA)

I-MMA inqubo ebanzi yokuhlinza ehambisa imihlathi ephezulu (maxilla) nephansi (ye-mandibular) phambili ukuvula i-airway yakho. Ukuvuleka okwengeziwe kwemigwaqo yomoya kunganciphisa ithuba lokuvinjelwa futhi kwenze amathuba okuncinza kancane.

Abantu abaningi abathola lokhu kwelashwa kokuhlinzwa ukuphefumula ubuthongo banokukhubazeka kobuso okuthinta ukuphefumula kwabo.

Ukugqugquzela izinzwa ze-Hypoglossal

Ukukhuthaza inzwa elawula imisipha esemoyeni ongaphezulu kungasiza ukugcina imigwaqo yomoya ivulekile futhi kunciphise nokuthimula. Umshini ofakwe ngokuhlinzwa ungashukumisa le nerve, ebizwa ngokuthi yi-hypoglossal nerve. Iyasebenza ngesikhathi sokulala futhi iyakwazi ukuzwa lapho umuntu oyigqokile engaphefumuli ngokujwayelekile.

Ukuncipha kwe-Septoplasty ne-turbinate

Kwesinye isikhathi ukukhubazeka komzimba emakhaleni akho kungaletha ukuhogela noma ukuvimbela ukuphefumula kokulala. Kulezi zimo, udokotela angancoma ukuhlinzwa kwe-septoplasty noma kwe-turbinate.

I-septoplasty ifaka ukuqondisa izicubu namathambo enkabeni yekhala lakho. Ukwehliswa kwe-turbinate kuhilela ukunciphisa ubukhulu bezicubu ngaphakathi kwekhala lakho okusiza ukuthambisa nokufudumeza umoya owuphefumulayo.

Kokubili lokhu kuhlinzwa kuvame ukwenziwa ngasikhathi sinye. Bangasiza ukuvula imigwaqo yomoya emakhaleni, okwenza ukuphefumula kube lula futhi bahoxe kancane.

Ukuthuthuka kwe-Genioglossus

Ukuthuthuka kwe-Genioglossus kuhilela ukuthatha imisipha yolimi enamathele emhlathini ongezansi bese uyidonsela phambili. Lokhu kwenza ulimi luqine futhi lungabi namathuba okuphumula ngesikhathi sokulala.

Ukwenza lokhu, udokotela ohlinzayo usika ucezu oluncane lwethambo emhlathini ongezansi lapho ulimi lunamathela khona, bese edonsa lelo thambo liye phambili. Isikulufu noma ipuleti elincane linamathisela ucezu lwethambo emhlathini ongezansi ukubamba ithambo endaweni yalo.

Ukumiswa kwe-Hyoid

Ekuhlinzweni kokumiswa kwe-hyoid, udokotela ohlinzayo uhambisa isisekelo solimi nezicubu zomphimbo ezinwebeka ezibizwa nge-epiglottis phambili. Lokhu kusiza ukuvula indawo yokuphefumula ngokujulile emqaleni.

Phakathi nalokhu kuhlinzwa, udokotela ohlinzayo usika umphimbo ongaphezulu bese unamathisela imisipha eminingi nesisipha esithile. Lapho ithambo le-hyoid lihanjiswa phambili, udokotela ohlinzayo ulinamathisela endaweni yalo. Ngoba lokhu kuhlinzwa akuthinti imisipha yezwi, izwi lakho kufanele lihlale lingashintshi ngemuva kokuhlinzwa.

I-midline glossectomy ne-lingualplasty

Ukuhlinzwa kwe-midline glossectomy kusetshenziselwa ukunciphisa usayizi wolimi futhi kukhulise usayizi wendlela yakho yomoya. Inqubo eyodwa ejwayelekile ye-midline glossectomy ifaka phakathi ukususa izingxenye eziphakathi nendawo nangemuva kolimi. Kwesinye isikhathi, udokotela ohlinzayo uzophinda aqume amalaka bese esusa kancane i-epiglottis.

Ukuhogela imiphumela emibi yokuhlinzwa

Imiphumela emibi iyehluka kuye ngokuthi hlobo luni lokuhlinza olutholayo. Kodwa-ke, eminye imiphumela emibi ejwayelekile yalokhu kuhlinzwa iyagqagqana, kufaka phakathi:

• ubuhlungu nobuhlungu
• ukutheleleka
• ukungakhululeki ngokomzimba, njengokuzwa kokuthile okuthile emphinjeni wakho noma ngaphezulu komlomo wakho
• Umphimbo obuhlungu

Ngenkathi imiphumela emibi eminingi ihlala kuphela emavikini ambalwa ngemuva kokuhlinzwa, eminye ingahlala isikhathi eside. Lokhu kungafaka:

• ukoma emakhaleni akho, emlonyeni nasemphinjeni
• ukuhogela lokho kuyaqhubeka
• ukungaphatheki kahle okuhlala isikhathi eside
• inkinga yokuphefumula
• shintsha ngezwi

Uma uba nomkhuhlane ngemuva kokuhlinzwa noma uzwa ubuhlungu obukhulu, shayela udokotela wakho ngokushesha. Lezi yizimpawu zokutheleleka okungenzeka.

Izindleko Zokuhlinza Ukuhogela

Okunye ukuhlinza okungaholelwa ngumshwalense wakho. Ukuhlinzwa kuvame ukumbozwa lapho ukuthwebula kwakho kubangelwa isimo sezokwelapha esingaxilongwa, njenge-apnea yokulala evimbela.

Ngomshuwalense, ukuhlinzeka nge-snoring kungabiza amakhulu ayizinkulungwane eziningana zamaRandi. Ngaphandle komshuwalense, kungabiza kuze kufike ku- $ 10,000.

Ukudla okudlela endlini

Ukuhlinzwa ngokuthwebula kuvame ukubonwa njengesixazululo sokugcina lapho umuntu engaphenduli ekwelashweni okungavumelekile njengamaphilisi omlomo noma amathuluzi omlomo. Kunezinketho eziningi ezahlukahlukene zokuhlinza ngokuhlinzwa, futhi ngayinye iza nemiphumela yayo emibi kanye nezingozi. Khuluma nodokotela ukuze ubone ukuthi yiluphi uhlobo lokuhlinzwa olungcono kakhulu kuwe.